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rory_20_uk
06-12-2006, 12:17
The doctor who first suggested a link between the MMR vaccine and autism is to be charged with serious professional misconduct, it is reported.

The Independent newspaper reports that the General Medical Council will accuse Mr Andrew Wakefield of carrying out "inadequately founded" research.

Vaccination rates fell sharply after Dr Wakefield questioned the safety of MMR, raising fears of a measles epidemic.

His initial Lancet paper has since been disowned by the journal.

The editor admitted he would not have published the 1998 paper if he had known about what he called a "fatal conflict of interest".

Mr Wakefield was being paid to see if there was any evidence to support possible legal action by a group of parents who claimed their children were damaged by the vaccine. Some children were involved in both studies.

In addition ten doctors who co-authored the paper issued a statement in 2004 arguing there was insufficient evidence to draw the conclusion that the MMR vaccine was not safe.

The main thrust of the paper was that MMR was linked not only to autism, but also to the bowel disorder Crohn's disease.

No corroboration

But a host of major studies has since failed to find any evidence of a link between MMR and autism.

However, the uptake rate for MMR - a triple jab which protects against measles, mumps and rubella - slumped in the wake of the controversy.

The rate has since picked up again, but remains low in some areas of the country, most notably London.

The number of measles cases has risen from 4,204 in 2003 to 56,390 in 2005.

The Independent reports that Mr Wakefield will face four charges: that he published inadequately founded research, failed to obtain ethical committee approval for the work, obtained funding for it improperly, and subjected children to "unnecessary and invasive investigations".

The paper says that detailed charges are being formulated by the GMC's lawyers, and will be presented in the autumn, with a public hearing expected next year.

If found guilty, Mr Wakefield could be struck off the medical register.

Mr Wakefield carried out his initial study while working at London's Royal Free Hospital.

He has since moved to the US.

A General Medical Council spokesperson refused to confirm details, but said: "An investigation is ongoing."

She said the council had been investigating Mr Wakefield since The Lancet issued its retraction in 2004.

She added that any charges against him might "evolve" before they were formally presented.

Good to see some good news! It's taken them a long time over hopefully some of the most devisive and inaccurate research that has been undertaken recently.

~:smoking:

InsaneApache
06-12-2006, 12:23
Yes, but did baby Blair have the jab? :laugh4:

He was a bit naughty though, wasn't he? Selective testing, whilst on the payroll of a pressure group.

As an aside rory, I used to think that when a doctor was struck off it was for life. Then I learnt it could be for as short as twelve months. What do the medicos think of this? and would you be happy working next to an ex-struck off doctor?

rory_20_uk
06-12-2006, 12:38
To get struck off, generally what you've done has to be horrendous. Killing the odd person just doesn't cut it.

Then you need to get caught. Of course doctors don't tell the relatives or the patient the truth when it's "they should have made it, but we bungled [key point]" Relatives are just somberly told that all that could be done was and blah blah blah...

I mention that as I have personally worked with doctors who shouldn't be working. One had a grasp of English so poor he could not communicate what was wrong, or write correctly in the notes. If he had to follow instructions it could be fatal. Others are just so lazy that you think they are playing the odds that the patients will survive their shift. Others are not up to date with how to manage a heart attack. Others get drugs routinely wrong (i.e. twice the maximum dose of paracetamol in one case, and there are loads of others). I'm not perfect, but the errors I speak of are all from senior doctors who have at least 5 years of experience.

So, merely that one was caught doesn't mean that s/he's worse than many others that are out there. He might be better for all I know and upset the wrong people. Much of the support will come from your superiors. If they don't like you they can hang you out to dry. Or they can say it was a failure of the system and not the doctor...

Basically: don't get ill!

~:smoking:

English assassin
06-12-2006, 16:17
Meh. Will the scare mongering journalists who were REALLY responsible for giving this story its legs be hauled up under their code of conduct?

No. So why should Wakefield?

rory_20_uk
06-12-2006, 16:26
He is a doctor. He is supposed to have professional standards. He is to be brought in from of the body that certifies that he upholds those standards.

Journalists possibly have standards. They are certainly different to Doctors, and the article was in the Lancet, which should mean that it is worthy of repeating.

If there was a risk you would expect journalists to inform the public. They are not trained to know the difference between bad science / medicine and good. To call it "scaremongering" is to use the 20/20 vision afforded by hindsight.

~:smoking:

InsaneApache
06-12-2006, 16:29
Journos, politicians and estate agents.....pity I can't call 'em names here...:sweatdrop:

doc_bean
06-12-2006, 16:34
Why are you blaming a journalist for a doctor ******* up ?

:dizzy2:

English assassin
06-12-2006, 16:56
scaremongering in 1998, no. In 2000, I guess not. But it is STILL being reported as if to MMR or not to MMR is a live issue. In 2006 that is wholly unethical.

Clarkson's rent boy off Top Gear had his own series recently, called something like "Should I worry?", and one was on MMR. And his conclusion, after being given access to the top guys in the field (because he's a motoring journalist so obviously professors of immunology should waste their time talking to him)? He gave his daughter separate jabs.

Nice on BBC. In 2006, a reasonable intelligent bloke gets to talk to the top experts one on one, and you show the population that he is still worried about the combined jab and so pays for the seperate ones. What message does that send to the ordinary public? How many GPs got worried parents in their surgeries saying "well, that motoring bloke on the telly said..."

That's why I blame journalists.

Big King Sanctaphrax
06-12-2006, 20:07
While Wakefield is a pillock, and deserves everything he gets, I agree that pretty much all of the major newspapers should also be taken to task for MMR in particular, and their abysmal science and health reporting in general.


But it is STILL being reported as if to MMR or not to MMR is a live issue.

Was it ever a real issue? Anyone who looked in depth at Wakefield's 'findings' could see that they proved nothing, and they were very quickly contradicted by huge numbers of healthcare professionals, as well as properly organised, properly controlled studies. The hysteria was based on lots of post ergo procter hoc reasoning by hysterical parents that was reported as valid discourse. The journalists should have been able to see this, or they have no business reporting on science or health.

rory_20_uk
06-12-2006, 20:28
Are most politicians any better? How many have a science background?

I am reminded of Yes Prime Minister when trying to discuss the making of a compound: "well compound interest is a good thing... and this compound probably is as well..."

For the media to be brought to task on their hype, lack of sources and general statistical insignificance of their stories might make them push for the government to require the same standards... A chilling thought for the current crop of spinners we have

~:smoking:

Duke of Gloucester
06-12-2006, 20:31
The worrying thing is that, although Wakefield was wrong, his "prosecution" in front of the GMC may disuade doctors who have genuine findings from rocking the boat. I hope the GMC are careful.

rory_20_uk
06-12-2006, 21:02
Bloody good point. Although Doctors are already so timid I doubt that there are many who require any futher dissuasion. I am certainly to be numbered amongst the cowed majority.

~:smoking:

English assassin
06-13-2006, 10:52
Was it ever a real issue?

Not for me, but short of giving the whole population first class degrees in biochemistry we need to get a bit more responsibility into the journalists profession.

We've got some big decisions ahead, nuclear power for instance, and having the mendacious peddling nonsense to the ignorant does not fill me with confidence.

Actually I think we could look at schooling as well. Why would "cautious go ahead for clean energy with some drawbacks" not sell papers, whereas "Gov OK's Radiation Death Plants: Mutant Insects will rape your Daughters" would?

Because we are all morons who can't deal with real facts any more. And, even bigger picture, we are all so frightened of making a judgement any more, the idea that this is right and that is wrong and I am telling you its so fills us with fear. Every pig ignorant know nothing has been told since he was on his mothers knee that his opinion is just as valid as a nobel prize winners.

So I guess I should be happy that at least one person might be held accountable in the whole sorry saga.